neonatal sepsis Flashcards
1
Q
common organisms
A
GBS
e coli
listeria
2
Q
risk factors
A
maternal GBS
maternal pyrexia
prematurity
PROM
3
Q
features
A
fever reduced tone poor feeding resp distress tachy/brady cardia hypoxia jaundice within 24hrs seizures hypoglycaemia
4
Q
red flags
A
confirmed/suspected maternal sepsis signs shock seizures term baby needing mechanical ventilation resp distress 4+ hours after birth
5
Q
Mx - one risk factor or clinical feature
A
monitor for ≥12hrs
6
Q
Mx - 2+ risk factors or clinical features
A
start antibiotics
7
Q
Ix
A
blood cultures - before antib given
baseline FBC and CRP
LP if suspicion meningitis
8
Q
antibiotic choice
A
benzylpenicillin and gentamicin
9
Q
ongoing Mx
A
check CRP 24hrs and cultures 36hrs
-if both CRP < 10 and cultures negative then stop antib
check CRP on day 5 if still antib
-if CRP normal, cultures and LP negative then stop antib
